Organization
THE SKIN CANCER AND DERMATOLOGY CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREL LEITHAUSER MD (OWNER AND MEDICAL DIRECTOR)
(231) 632-8456
Entity
Organization
Contact information
Practice address
5199 N ROYAL DR, TRAVERSE CITY, MI 49684-9201
(231) 486-0230
(231) 525-2062
Mailing address
5199 N ROYAL DR, TRAVERSE CITY, MI 49684-9201
(231) 632-8456
(231) 525-2062
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
4301104387
MI
Other
Enumeration date
05/31/2018
Last updated
01/17/2023
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