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 |