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Organization

CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MERCY A ODUEYUNGBO MD (AUTHORIZED OFFICIAL)
(906) 362-7546
Entity
Organization

Contact information

Practice address
500 CAMPUS DR, HANCOCK, MI 49930
(906) 362-7546
(413) 269-8079
Mailing address
540 S LAKESHORE BLVD UNIT 34, MARQUETTE, MI 49855-4631
(708) 833-9990

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MI

Other

Enumeration date
06/27/2018
Last updated
10/31/2018
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