| NPI | 1518011360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HALL LANDIS Owner/Physician 517-999-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI GL009452) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-03-29 |