| NPI | 1023104973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S. SIEGEL Owner 313-593-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 40981) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-08-17 |