| NPI | 1699725895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RUCKER Enrollment & Patient Accts Manager 517-355-8462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 207V00000X Obstetrics & Gynecology | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology | |
| 207Y00000X Otolaryngology (Licence: MI 4301097695) | |
| 2086S0102X Surgery, Surgical Critical Care | |
| 2086S0127X Surgery, Trauma Surgery | |
| 2086X0206X Surgery, Surgical Oncology (Licence: MI 4301077538) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-10-18 |