| NPI | 1508942525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 313-874-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 830190) |
| Additional Taxonomies | 204F00000X Transplant Surgery |
| 2086S0102X Surgery, Surgical Critical Care | |
| 2086S0129X Surgery, Vascular Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-08-23 |