| NPI | 1013202035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0102X Surgery, Surgical Critical Care | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2021-04-30 |