NPI | 1386875961 |
---|---|
Doing Business As | THE BERRY SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM LUBAWAY Vice President Finance 313-966-2026 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 830450) |
Enumeration Date | 2009-07-31 |
Last Update Date | 2009-12-01 |