NPI | 1285905414 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFRY LEE KASHUK Physician 989-793-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301088604) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2012-01-19 |