| NPI | 1649397225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A BAYS Owner 989-790-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301053548) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-03-30 |