Skincare Associates Pc in Monroe - Specialist

Skincare Associates Pc - NPI 1720133580

Skincare Associates Pc is a Specialist in Monroe, Michigan. Skincare Associates Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Skincare Associates Pc is 1720133580. The last update date is 2015-10-12.

Skincare Associates Pc's current location address is 315 Stewart Rd, Monroe, Michigan. You can contact this provider via phone number 7344574400 and fax number 7342428017. The mailing address for Skincare Associates Pc is 315 Stewart Rd, Monroe, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Skincare Associates Pc
Address 315 Stewart Rd, Monroe, Michigan
Phone Number 7344574400
Fax Number 7342428017
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Ulery Martin James
Credentials M.D.
Telephone Number 7344574400

NPI Number Detail

NPI Number 1720133580
Provider Enumeration Date 2007-01-24
Last Updated Date 2015-10-12

Provider Mailing Address Detail

Address 315 Stewart Rd
City Monroe
State Michigan (MI)
Post Code 481624393
Phone Number 7344574400
Fax Number 7342428017

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No JU063597
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
070E811880 MI BCBSM NEW
OE81006 MI BLUE CROSS BLUE SHIELD
70013988 MI RAILROAD MEDICARE
CL2256 MI RAILROAD GROUP NUMBER

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FAQs about Skincare Associates Pc

What is the unique 10-digit identification code assigned to Skincare Associates Pc by the Centers for Medicare & Medicaid Services?

The Skincare Associates Pc has been issued the NPI (National Provider Identifier) 1720133580, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Skincare Associates Pc is geographically located?

The Skincare Associates Pc is physically situated at the following location: 315 Stewart Rd, Monroe, MI, 481624393.

What is Skincare Associates Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Skincare Associates Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Skincare Associates Pc receive its 1720133580 assignment from the Centers for Medicare & Medicaid Services?

The Skincare Associates Pc was assigned its 1720133580 by the Centers for Medicare & Medicaid Services on 2007-01-24.

As of what date were the details pertaining to Skincare Associates Pc last refreshed?

The information related to the Skincare Associates Pc, including its address, specialty, and other relevant details, was last updated on 2015-10-12.

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