NPI | 1538427059 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCAS A JULIEN Coporate Officer 517-372-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 4301084046) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2012-05-03 |