| NPI | 1467758292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA SOBH Manager 248-557-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 4301080698) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |