Organization
ADVANCED SKIN AND MOHS SURGERY CLINICS, P.C.
Active
Organization
ADVANCED SKIN AND MOHS SURGERY CLINICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE WILLIAM BROWN JR. MD, JD (CEO, PRESIDENT)
(269) 985-0021
Entity
Organization
Contact information
Practice address
2570 NILES RD, SAINT JOSEPH, MI 49085-3203
(269) 985-0021
(269) 281-0281
Mailing address
2570 NILES RD, SAINT JOSEPH, MI 49085-3203
(269) 985-0021
(269) 281-0281
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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