COSMETIC SKIN AND LASER CENTER is a general practice in Petoskey, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee COSMETIC SKIN AND LASER CENTER NPI is 1811139082. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
116 W MITCHELL ST
PETOSKEY, MI
ZIP 49770-324
Phone: (231) 347-7395
The provider's authorized official is Gustav Jailing Lo .
The authorized official title is Owner and has the following contact phone number (231) 347-7395.
The enumeration date for this NPI number is 4/2/2009 and was last updated on 4/2/2009.