| NPI | 1538491790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MARTIN Care Coordination Director 248-712-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301072477) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2014-12-08 |