Organization
A Z DERMATOLOGY PC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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