| NPI | 1164414074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT MEININGER Medical Doctor 248-362-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI MM052764) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 039869) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2007-11-16 |