NPI | 1164528527 |
---|---|
Entity Type | Organization |
Authorized Contact | LANA COOPER Administrator 734-528-1405 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 81-6818) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: MI 4704111201) |
367H00000X Anesthesiologist Assistant (Licence: MI 4704204265) | |
367H00000X Anesthesiologist Assistant (Licence: MI 4704118315) | |
Enumeration Date | 2006-09-15 |
Last Update Date | 2015-08-25 |