| NPI | 1356528855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM STANLEY KONETZKI Physician/Owner 205-487-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL 28471) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2018-06-21 |