Organization
METROPOLITAN DERMATOLOGY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE P MALICK M.D. (PHYSICIAN)
(248) 743-9330
Entity
Organization
Contact information
Practice address
38865 DEQUINDRE RD, SUITE 104, TROY, MI 48083-6812
(248) 743-9330
(248) 743-9332
Mailing address
38865 DEQUINDRE RD, SUITE 104, TROY, MI 48083-6812
(248) 743-9330
(248) 743-9332
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301032495
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0705022692
BCBS
MI
05
—
1068315
—
MI
Enumeration date
04/08/2008
Last updated
04/02/2015
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