| NPI | 1598274847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M GENCO Physician 989-355-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301060626) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |