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Organization

DERMATOLOGY MEDICAL CENTER OF MI, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NEDIL N/A ALDARONDO-ANTONINI MD (PRESIDENT)
(956) 286-3604
Entity
Organization

Contact information

Practice address
2545 W SILVER LAKE RD STE 2, FENTON, MI 48430-2662
(810) 215-0999
(810) 629-2377
Mailing address
2545 W SILVER LAKE RD STE 2, FENTON, MI 48430-2662
(810) 243-0707
(810) 208-0311

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
05/25/2021
Last updated
05/13/2024
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