| NPI | 1649362872 |
|---|---|
| Other Name | CORP |
| Entity Type | Organization |
| Authorized Contact | STEVEN R COHN Owner 248-551-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301406942) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |