Organization
KAY WATNICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAY WATNICK M.D. (OWNER/PHYSICIAN)
(248) 855-7500
Entity
Organization
Contact information
Practice address
6900 ORCHARD LAKE RD, STE 209, WEST BLOOMFIELD, MI 48322-3405
(248) 855-7500
(248) 855-5627
Mailing address
6900 ORCHARD LAKE ROAD, STE 209, WEST BLOOMFIELD, MI 48322-3405
(248) 855-7500
(248) 855-5627
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301403896
MI
Other
Enumeration date
04/29/2008
Last updated
06/17/2008
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