Organization
DERMATOLOGY SPECIALISTS OF ANN ARBOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VANHALL (SR. PROJECT MANAGER)
(586) 876-2345
Entity
Organization
Contact information
Practice address
4200 WHITEHALL DR STE 250, ANN ARBOR, MI 48105-9694
(734) 677-3376
(734) 572-3229
Mailing address
43151 DALCOMA DR STE 4, CLINTON TOWNSHIP, MI 48038-6306
(586) 876-2345
(866) 790-6803
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
08/09/2022
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