Organization
GEORGETOWN DERMATOLOGISTS, P.C.
Active
Other names
georgetown dermatologists, p.c.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SANFORD FRANK MD (PRESIDENT)
(586) 979-1750
Entity
Organization
Contact information
Practice address
39242 DEQUINDRE RD, SUITE 105, STERLING HEIGHTS, MI 48310-1764
(586) 979-1750
(586) 979-4667
Mailing address
39242 DEQUINDRE RD, SUITE 105, STERLING HEIGHTS, MI 48310-1764
(586) 979-1750
(586) 979-4667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070E025000
BCBSM GROUP PIN
—
Enumeration date
03/27/2007
Last updated
06/27/2008
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