| NPI | 1699012450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN ALI MAZLOUM Physician 810-239-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI HM063987) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MI HM063987) |
| Enumeration Date | 2013-01-13 |
| Last Update Date | 2013-01-13 |