EL TAL MD PC NPI 1003290750

NPI Details

EL TAL MD PC is a mohs-micrographic surgery dermatology in Grand Rapids, MI. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. EL TAL MD PC NPI is 1003290750. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

555 MIDTOWNE ST NE STE 301
GRAND RAPIDS, MI
ZIP 49503-729
Phone: (616) 248-8864
Fax: (616) 248-8874

The provider's authorized official is Abdel K El Tal .
The authorized official title is President and has the following contact phone number (313) 312-9050.

The enumeration date for this NPI number is 7/13/2015 and was last updated on 7/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: