| NPI | 1760730469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ECKER Director Of Professional Billing 810-262-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2024-04-12 |