OAKLAND DERMATOLOGY ASSOCIATES PC
Suppliers at Woodward Ave, Bloomfield, MI

License number
Michigan 4301022545
Category
Osteopathic Medicine
Type
Dermatology
License number
Michigan 4301032103
Category
Medical Practice
Type
Plastic Surgery
License number
Michigan 4301022545
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: NELDAGAE CHISA
Title: PRESIDENT OWNER
Phone: (248) 647-5015
Address
Address
36700 Woodward Ave SUITE 203, Bloomfield, MI 48304
National Provider ID: 1477649887
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OAKLAND DERMATOLOGY ASSOCIATES, PC

Bloomfield, MI

Registration:
Oct 1, 1969
Addresses:
36700 Woodward Ave STE 203, Bloomfield Hills, MI 48304 (Physical)
Michigan (Mailing)
State ID:
039589
Business type:
Domestic Professional Service Corporation
Agent:
Md Neldagae Chisa

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