| NPI | 1063857779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN LEMAN Asst Office Manager 248-541-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 4301092631) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-08-27 |