| NPI | 1659605251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BARRY GELLIS President 248-642-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2010-03-17 |