| NPI | 1316031164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GROSS President 248-723-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: OH WG036638) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-05-20 |