Academic Dermatology & Cosmetic Surgery Center PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

058522 Issued in MI

Legal business name

ACADEMIC DERMATOLOGY & COSMETIC SURGERY CENTER PLLC

Practice address

51 S Washington St
Suite G
Oxford, MI 48371-6418

Phone

(586) 969-8600

Fax

(586) 997-9738

NPI assigned

Apr 25, 2008

Last updated

Apr 28, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian G Sandler, M.D.NPI 1063493096

Title

Owner

Phone

(248) 969-8600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian G Sandler, MD

  • Dermatology Physician
  • Shelby TWP, MI
  • NPI 1063493096

  Mohs-Micrographic Surgery

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1306011887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S WASHINGTON ST",
            "address_2": "SUITE G",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716418",
            "telephone_number": "586-969-8600",
            "fax_number": "586-997-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S WASHINGTON ST",
            "address_2": "SUITE G",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716418",
            "telephone_number": "586-969-8600",
            "fax_number": "586-997-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC DERMATOLOGY & COSMETIC SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SANDLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-969-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MI",
            "license": "058522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adel Magid DDS,P.C. (dental center of oxford)
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• Monica A Aguilar, MD
• Haris Ahmed, DPT
• Hiba Al-Kassab, D.D.S

• MOHS-Micrographic Surgery Physician in Oxford, MI
• Providers in Oxford, MI by specialty
• MOHS-Micrographic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.