NPI | 1437666773 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 313-874-4806 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2018-01-09 |
Last Update Date | 2024-08-23 |