| NPI | 1700841475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RANDOLPH LULEK President/General/Vascular Surgeon 313-271-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2025-09-11 |