Organization
DERMATOLOGY & SKIN SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONN A LATOUR M.D. (PRESIDENT)
(269) 660-1670
Entity
Organization
Contact information
Practice address
7070 E DR N, BATTLE CREEK, MI 49014-8562
(269) 660-1670
(269) 660-0666
Mailing address
7070 E DR N, BATTLE CREEK, MI 49014-8562
(269) 660-1670
(269) 660-0666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070A310490
BCBSM GROUP #
MI
Enumeration date
07/12/2006
Last updated
04/27/2015
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