NPI | 1245632108 |
---|---|
Entity Type | Organization |
Authorized Contact | DWAYNE DUNLAP Surgical Assistant 248-346-2748 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00368) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2014-11-07 |