NPI | 1508942525 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 248-703-2003 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 830190) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
2086S0129X Surgery, Vascular Surgery | |
2086X0206X Surgery, Surgical Oncology | |
204F00000X Transplant Surgery | |
Enumeration Date | 2006-10-31 |
Last Update Date | 2024-03-06 |