Organization
NOVI DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE C WATSON MD (DELEGATED OFFICIAL)
(248) 946-4787
Entity
Organization
Contact information
Practice address
44000 W 12 MILE RD STE 103, NOVI, MI 48377
(248) 946-4787
(248) 716-5956
Mailing address
44000 W 12 MILE RD STE 103, NOVI, MI 48377-2646
(248) 946-4787
(248) 308-2450
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
06/14/2021
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