| NPI | 1730362864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE EHRMANTRAUT Office Manager 410-414-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D0059299) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |