Organization
WEST BLOOMFIELD DERMATOLOGY AND MOHS SURGERY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA PETERLIN (PRACTICE MANAGER)
(248) 855-7500
Entity
Organization
Contact information
Practice address
5839 W MAPLE RD STE 109, WEST BLOOMFIELD, MI 48322-2278
(248) 855-7500
Mailing address
5839 W MAPLE RD STE 109, WEST BLOOMFIELD, MI 48322-2278
(248) 855-7500
(248) 855-5627
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
04/13/2026
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