| NPI | 1518599588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELANDA PRICE Lead Enrollment COO Rdinator 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| 2086S0102X Surgery Surgical Critical Care | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| 2086X0206X Surgery Surgical Oncology | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2023-10-04 |