Healthcare Provider Details

I. General information

NPI: 1528599750
Provider Name (Legal Business Name): SINGER DERMATOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 06/08/2020
Certification Date: 06/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29355 NORTHWESTERN HWY 302
SOUTHFIELD MI
48034-1053
US

IV. Provider business mailing address

29355 NORTHWESTERN HWY 302
SOUTHFIELD MI
48034-1053
US

V. Phone/Fax

Practice location:
  • Phone: 248-353-0880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT SINGER
Title or Position: DOCTOR
Credential: MD
Phone: 248-353-0880