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Organization

INTEGRATIVE SKIN CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATALIE MONET MOULTON-LEVY MD (PHYSICIAN/OWNER)
(734) 241-4950
Entity
Organization

Contact information

Practice address
2246 N MONROE ST, MONROE, MI 48162-4254
(646) 287-0734
Mailing address
2246 N MONROE ST, MONROE, MI 48162-4254
(646) 287-0734

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
05/17/2012
Last updated
11/30/2012
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