Unknown Individual – Dermatology Physician, NPI 1124065669
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
The Plaza, 3800, Woodward Avenue, Midtown, Detroit, Wayne County, Michigan, 48201, United States
SUITE 702
DETROIT, MI 482012061
Phone:
Type: Mailing
WSU Physician's Group, 50, East Canfield Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States
DETROIT, MI 482011804
Phone: (313) 576-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48201)
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