NPI 1457406217

Livonia Dermatology PLLC

Organisation Dermatology Physician Livonia, MI

Practice location

Address: 14801 Farmington Rd, Livonia, MI 48154-5429
Phone: (734) 542-8100
Fax: (734) 542-8168

Authorised official

Name: David Pegouske
Title: Owner
Phone: (734) 542-8100

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Michigan →

Registry record

NPI: 1457406217
Entity type: Organization
NPI issued: 24 Jan 2007
Record last updated: 6 Dec 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.