| NPI | 1124246228 |
|---|---|
| Doing Business As | BARIATRIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW WOLOCKO Director 734-324-3591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301063383) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-11-12 |