| NPI | 1619242179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L JENSEN Doctor 586-772-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |