NPI | 1083723589 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE G ARNOLD President 906-225-7808 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301041217) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2008-05-20 |