Advanced Dermatology Of Michigan Pc

LBN: Advanced Dermatology Of Michigan Pc
Advanced Dermatology Of Michigan Pc is an health care organization with primary practice located at 1500 Eureka Rd , Wyandotte MI 48192-6103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Advanced Dermatology Of Michigan Pc can be contacted via phone (734) 282-2500, or through Leavitt, Matt via phone (407) 875-2080.

Contact Information

Primary practice address
1500 Eureka Rd Wyandotte MI 48192-6103
Phone: (734) 282-2500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leavitt, Matt Doctor of Osteopathy (DO)
Phone: (407) 875-2080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1851708929
LBN Legal business name Advanced Dermatology Of Michigan Pc
DBA Doing business as
Authorized official Leavitt, Matt Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2014
Last updated Jul 21st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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