| NPI | 1053640557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MICHAEL LOFMAN President 248-990-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301083297) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |