| NPI | 1215985460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN J BOLTON Managing Agent/Owner 248-642-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301023429) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-02-08 |