| NPI | 1184485146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN P TER LOUW Medical Director/President 231-246-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-18 |