Organization
MICHIGAN DERMATOLOGY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARAH KATHERINE MALICK M.D. (PHYSICIAN)
(248) 743-9330
Entity
Organization
Contact information
Practice address
38865 DEQUINDRE RD, SUITE #104, TROY, MI 48083-6812
(248) 743-9330
(248) 743-9332
Mailing address
38865 DEQUINDRE RD, SUITE #104, TROY, MI 48083-6812
(248) 743-9330
(248) 743-9332
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301083995
MI
Other
Enumeration date
02/07/2012
Last updated
04/25/2012
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