| NPI | 1184659559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 208600000X Surgery | |
| 2086S0102X Surgery, Surgical Critical Care | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-04-05 |