Provider Demographics
NPI:1174496814
Name:SKIN CARE PHYSICIANS PC
Entity type:Organization
Organization Name:SKIN CARE PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-852-1900
Mailing Address - Street 1:6632 TELEGRAPH RD
Mailing Address - Street 2:BOX 348
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3012
Mailing Address - Country:US
Mailing Address - Phone:586-368-3600
Mailing Address - Fax:248-852-1919
Practice Address - Street 1:46591 ROMEO PLANK RD STE 205A
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-5705
Practice Address - Country:US
Practice Address - Phone:586-368-3600
Practice Address - Fax:248-852-1900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SKIN CARE PHYSICIANS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty