Organization
SKIN CARE EXPERTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDEL KADER TAL MD (CLINIC DIRECTOR)
(419) 320-3777
Entity
Organization
Contact information
Practice address
900 W SOUTH BOUNDARY ST BLDG 9, PERRYSBURG, OH 43551-5230
(419) 873-6963
(419) 873-6964
Mailing address
900 W SOUTH BOUNDARY ST BLDG 9A, PERRYSBURG, OH 43551-5245
(419) 873-6963
(419) 873-6964
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
01/10/2022
Last updated
05/17/2024
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