Metropolitan Dermatology Center, P.C.

LBN: Metropolitan Dermatology Center, P.C.
Metropolitan Dermatology Center, P.C. is an health care organization with primary practice located at 38865 Dequindre Rd Suite 104, Troy MI 48083-6812. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Metropolitan Dermatology Center, P.C. can be contacted via phone (248) 743-9330, or through Malick, George P via phone (248) 743-9330.

Contact Information

Primary practice address
38865 Dequindre Rd Suite 104 Troy MI 48083-6812
Fax: (248) 743-9332
Website:
Authorized official contact:
Name: Malick, George P Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301032495 Michigan

Profile Details

NPI number 1962675207
LBN Legal business name Metropolitan Dermatology Center, P.C.
DBA Doing business as
Authorized official Malick, George P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 2nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962675207 NPPES
Michigan Other 0705022692 BCBS
Michigan MEDICAID 1068315 BCBS

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