NPI | 1194590307 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY MILLER Director Of Rcm 248-331-7908 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
363A00000X Physician Assistant | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
Enumeration Date | 2023-11-17 |
Last Update Date | 2023-12-13 |