| NPI | 1497152243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P GUSHO CFO Se Mi Region 248-858-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 1060000071) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2017-10-05 |