Organization
THE SKIN CANCER AND DERMATOLOGY CENTER PLC
Active
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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