Organization
SUMMIT DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SULTAN QIBLAWI MD, MBA (MEMBER)
(586) 530-6365
Entity
Organization
Contact information
Practice address
14700 FARMINGTON RD STE 105, LIVONIA, MI 48154-5434
(734) 361-2191
(734) 361-9701
Mailing address
14700 FARMINGTON RD STE 105, LIVONIA, MI 48154-5434
(734) 361-2191
(734) 361-9701
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
10/31/2025
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