Organization
DYNAMIC DERMATOLOGY AND SKIN CANCER CENTER PC
Active
Organization
DYNAMIC DERMATOLOGY AND SKIN CANCER CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MURRAY ADRIAN COTTER MD, PH.D (OWNER)
(989) 356-3485
Entity
Organization
Contact information
Practice address
105 ARBOR LN, ALPENA, MI 49707-1301
(989) 356-3485
(989) 356-6396
Mailing address
1087 MAPLE WAY, HARBOR SPRINGS, MI 49740-9234
(989) 356-3485
(989) 356-6396
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MC081921
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207N00000X
TAXONOMY
MI
01
—
MC081921
STATE LICENCE
MI
Enumeration date
11/16/2015
Last updated
11/16/2015
Update your record
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