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
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