| NPI | 1205983152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL NITSCH President 269-343-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4301039963) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-03-18 |