| NPI | 1386659043 |
|---|---|
| Other Name | PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | JAMES R. MCDONNELL President/Owner 231-935-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI JM008369) |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-03-17 |