NPI 1003069014

Dermatology Specialists of Canton, PLLC

Organisation Dermatology Physician Canton, MI

Practice location

Address: 285 N Lilley Rd, Canton, MI 48187-3907
Phone: (734) 495-1506
Fax: (734) 495-1780
Mailing address: 43151 Dalcoma Drive Suite 6, Clinton Township, MI 48038

Authorised official

Name: Iltefat H. Hamzavi
Title: President
Phone: (734) 495-1506

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4301067985 (MI)

Other Dermatology providers in Michigan →

Registry record

NPI: 1003069014
Entity type: Organization
NPI issued: 4 Nov 2008
Record last updated: 15 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.