Organization
DERMATOLOGY ASSOC OF MACOMB OAKLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WILLIAM KAUFMAN M.D. (PRESIDENT)
(586) 751-2520
Entity
Organization
Contact information
Practice address
11250 E 13 MILE RD, STE 2B, WARREN, MI 48093-2597
(586) 751-2520
(586) 751-7004
Mailing address
11250 E 13 MILE RD, STE 2B, WARREN, MI 48093-2597
(586) 751-2520
(586) 751-7004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070E060680
BCBSM
MI
Enumeration date
09/26/2006
Last updated
05/29/2013
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