| NPI | 1114667144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT President 734-327-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2023-10-09 |