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 |