| NPI | 1578887535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLE W SPOHN President Sole Proprietor 248-646-8411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101005851) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-07-28 |