| NPI | 1740201755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE HENRY LENZ Executive Vice President 734-547-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2025-09-11 |