| NPI | 1255519237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J KANE CEO 231-487-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4301069604) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301069905) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2011-03-08 |