NPI 1003943408

Clarkston Dermatology & Vein Center PLLC

Organisation Dermatology Physician Clarkston, MI

Practice location

Address: 5701 Bow Pointe Dr Suite 215, Clarkston, MI 48346-3198
Phone: (248) 620-3376
Fax: (248) 620-3379

Authorised official

Name: Wendy L McFalda
Title: Member
Phone: (248) 620-3376

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 5101014699 (MI)

Other Dermatology providers in Michigan →

Registry record

NPI: 1003943408
Entity type: Organization
NPI issued: 27 Feb 2007
Record last updated: 8 Jun 2015

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.