| NPI | 1003061268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J LIVINGSTON Owner 616-464-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI 4301061751) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |