Organization
A Z DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANATOLY ZELIKOV MD (OWNER)
(248) 788-4380
Entity
Organization
Contact information
Practice address
25225 GREENFIELD, SOUTHFIELD, MI 48075
(248) 788-4380
Mailing address
31051 WESTWOOD ROAD, IN CARE OF A ZELIKOV MD, FARMINGTON HILLS, MI 48331
(248) 788-4380
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301046052
MI
207NS0135X
Procedural Dermatology Physician
4301046052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103267265
—
MI
Enumeration date
05/29/2008
Last updated
05/29/2008
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