NPI | 1093994337 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID COLBURN President 231-935-0390 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301079215) |
Enumeration Date | 2007-11-02 |
Last Update Date | 2021-03-02 |