| NPI | 1528142858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 248-703-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 830190) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-03-14 |