| NPI | 1114937299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRIEDRICH DUTKA Officer 586-263-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301035768) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-06-16 |