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Organization

BEDSIDE DERMATOLOGY GROUP PC

Active
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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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