Organization
BEDSIDE DERMATOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN K GREKIN DO (PRESIDENT)
(586) 759-5525
Entity
Organization
Contact information
Practice address
13450 E 12 MILE RD, WARREN, MI 48088-3671
(586) 759-5525
(586) 619-9028
Mailing address
13450 E 12 MILE RD, WARREN, MI 48088-3671
(586) 759-5525
(586) 619-9028
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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