Organization
CONCIERGE DERMATOLOGY & SKIN SURGERY CENTER
Active
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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