NPI | 1518171420 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN WESLEY SEALEY President 313-342-2369 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 5101007184) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2010-04-07 |