| NPI | 1013033976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA CAROL SCHUETTE Practice Manager 248-335-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI MA057064) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-07-30 |