| NPI | 1275297509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ANN KEANE Surgical First Assistant 517-281-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |