Organization
PSORIASIS AND ECZEMA TREATMENT CENTER OF WESTERN MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAREK A STAWISKI MD (PHYSICIAN)
(616) 459-8209
Entity
Organization
Contact information
Practice address
833 MICHIGAN ST NE, SUITE 102, GRAND RAPIDS, MI 49503-3523
(616) 459-8209
(616) 459-0313
Mailing address
833 MICHIGAN ST NE, SUITE 102, GRAND RAPIDS, MI 49503-3523
(616) 459-8209
(616) 459-0313
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/26/2005
Last updated
03/22/2018
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