Organization
COSMETIC DERMATOLOGY AND VEIN CENTERS OF DOWNRIVER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DAVID FRIEDMAN D.O. F.AO.C.D. (PRESIDENT)
(248) 690-7243
Entity
Organization
Contact information
Practice address
17171 FORT ST, RIVERVIEW, MI 48193
(734) 282-7266
(734) 282-0353
Mailing address
PO BOX 772081, DETROIT, MI 48277-2022
(734) 282-7266
(734) 282-0353
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750494282
—
MI
Enumeration date
08/17/2006
Last updated
12/13/2018
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