NPI | 1609046317 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL CRAIG MALCZEWSKI President 219-945-0669 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: 01043550A) |
Additional Taxonomies | 174400000X Specialist (Licence: IN 01043550A) |
2086S0105X Surgery, Surgery of the Hand (Licence: 01043550A) | |
Enumeration Date | 2008-03-10 |
Last Update Date | 2008-06-30 |