| NPI | 1063739654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PEIRCE Manager Patient Accounts 989-356-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2025-09-02 |