Organization
SKINCARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MARTIN ULERY JR. M.D. (OWNER)
(734) 457-4400
Entity
Organization
Contact information
Practice address
315 STEWART RD, MONROE, MI 48162-4393
(734) 457-4400
(734) 242-8017
Mailing address
315 STEWART RD, MONROE, MI 48162-4393
(734) 457-4400
(734) 242-8017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
JU063597
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070013988
RAILROAD MEDICARE
MI
01
—
070E811880
BCBSM NEW
MI
01
—
CL2256
RAILROAD GROUP NUMBER
MI
01
—
OE81006
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/24/2007
Last updated
10/12/2015
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