| NPI | 1679769061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G SCOTT JENNINGS Doctor 248-474-5456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 5101007541) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |