| NPI | 1518599588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELANDA PRICE Lead Enrollment Coordinator 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 |