| NPI | 1184916801 |
|---|---|
| Doing Business As | MKA SURGICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KWABENA AMPONSAH President/CEO 937-902-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104033) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME99974) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2020-12-03 |