Organization
HARPER DERMATOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USHA R SOOD M.D. (PRESIDENT)
(586) 776-7546
Entity
Organization
Contact information
Practice address
18285 E 10 MILE RD, ROSEVILLE, MI 48066-5802
(586) 776-7546
(586) 447-4910
Mailing address
18285 E 10 MILE RD, ROSEVILLE, MI 48066-5802
(586) 776-7546
(586) 447-4910
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
4301039212
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0705019201
BLUE CROSS NETWORK PIN
MI
01
—
B45777
BLUE CROSS UPIN
MI
Enumeration date
08/04/2008
Last updated
08/04/2008
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