| NPI | 1285062935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GEORGE MAGNAND President 239-694-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME94904) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |