| NPI | 1164600151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA M HULL Biller 810-635-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |