| NPI | 1346283116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD E. VAZALES President 231-487-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-10-20 |