| NPI | 1356645451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED RUSSELL EHRMANTRAUT President Of Organization/Surgeon 410-414-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-11 |