| NPI | 1548597149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE LEVITAN Owner 586-773-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MI 4301041779) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |