Organization
ACADEMIC DERMATOLOGY & COSMETIC SURGERY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN G SANDLER MD (OWNER)
(586) 997-9700
Entity
Organization
Contact information
Practice address
50182 SCHOENHERR ROAD, SHELBY TWP., MI 48315
(586) 997-9700
(586) 997-9738
Mailing address
51189 SHELBY PKWY, SHELBY TWP, MI 48315-1786
(586) 997-9700
(586) 997-9738
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301058522
MI
207ND0101X
MOHS-Micrographic Surgery Physician
4301058522
MI
Other
Enumeration date
05/07/2007
Last updated
08/28/2020
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