Organization
FAMILY DERMATOLOGY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PRINCE M.D. (PRESIDENT)
(248) 354-9595
Entity
Organization
Contact information
Practice address
20555 W. 12 MILE RD, SOUTHFIELD, MI 48076
(248) 354-9595
(248) 354-9598
Mailing address
P.O. BOX 3532, SOUTHFIELD, MI 48037
(248) 354-9595
(248) 354-9598
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301038363
MI
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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