| NPI | 1760777684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BRYANT SMITH Physician 231-421-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MI 4301084224) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-08-03 |