| NPI | 1427099886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALLEN KINGSBURY President 810-606-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-05-14 |