Organization
NORTHWEST DERMATOLGY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY B LEVIN MD (PRESIDENT)
(248) 353-0880
Entity
Organization
Contact information
Practice address
29355 NORTHWESTERN HWY, #200, SOUTHFIELD, MI 48034
(248) 353-0880
Mailing address
29355 NORTHWESTERN HWY, #200, SOUTHFIELD, MI 48034-1053
(248) 353-0880
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
07/24/2006
Last updated
07/27/2018
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