Organization
SUNRISE DERMATOLOGY LLC
Active
Other names
Sunrise Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH WIERSZALOWSKI (ADMINISTRATOR)
(251) 544-6407
Entity
Organization
Contact information
Practice address
8832 US HWY 90, DAPHNE, AL 36526
(251) 289-1786
Mailing address
70 MIDTOWN PARK E, MOBILE, AL 36606-4140
(251) 544-6407
(251) 544-6411
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
02/07/2019
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