| NPI | 1578786125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTTO WILLIAM BROWN Owner 248-433-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MI 4301043496) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |