NPI 1003077553

Wyandotte Physician Practices

Organisation Dermatology Physician Brownstown Twp, MI

Practice location

Address: 23050 West Rd STE 240, Brownstown Twp, MI 48183-1472
Phone: (734) 675-0835
Fax: (734) 675-0873

Authorised official

Name: John E Kibble
Title: Director
Phone: (313) 874-3436

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Michigan →

Registry record

NPI: 1003077553
Entity type: Organization
NPI issued: 18 Jun 2008
Record last updated: 7 Jul 2008

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.