Organization
SKIN CANCER & COSMETIC DERMATOLOGY CENTER
Active
Organization
SKIN CANCER & COSMETIC DERMATOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONN ALAN LATOUR M.D. (OWNER)
26966016710
Entity
Organization
Contact information
Practice address
306 E MAUMEE ST, SUITE 301 - CAMERON MEDICAL OFFICE BUILDING, ANGOLA, IN 46703-2038
(269) 660-1670
(269) 660-0666
Mailing address
7070 E DRIVE NORTH, C/O DSSC, BATTLE CREEK, MI 49014
(269) 660-1670
(269) 660-0666
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01074279A
IN
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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