| NPI | 1134614886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHER W KHAN CEO 734-419-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301098160) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-03-22 |