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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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