| NPI | 1114052628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN TARTAGLIONE Owner 810-424-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 5101012775) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |