Graduated: 2021
NPI: 1629735287
Practice Locations (2)
SOUTH LYON DERMATOLOGY, PC
26036 PONTIAC TRAIL
SOUTH LYON, MI 481788050
SOUTH LYON DERMATOLOGY, PC
26036 PONTIAC TRL
SOUTH LYON, MI 481788050
2484792200
Source: CMS National Downloadable File, September 2026.