| NPI | 1144335639 |
|---|---|
| Other Name | HURON GASTRO |
| Entity Type | Organization |
| Authorized Contact | VICKI LYNN GUZOWSKI Data Coordinator 734-528-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 363AM0700X Physician Assistant, Medical | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-06-21 |