| NPI | 1043392707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL TRUPIANO Owner 586-206-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4301081182) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 4301081182) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI 4301081182) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301081182) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2013-09-10 |