| NPI | 1649052002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN SMITH Biller 810-358-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-26 |