NPI | 1770515041 |
---|---|
Entity Type | Organization |
Authorized Contact | TOM FALK Administrator 313-745-4771 |
Organization Subpart ? | No |
Primary Taxonomy | 204F00000X Transplant Surgery |
Additional Taxonomies | 208600000X Surgery |
2086S0102X Surgery, Surgical Critical Care | |
2086S0122X Surgery, Plastic and Reconstructive Surgery | |
2086S0127X Surgery, Trauma Surgery | |
2086S0129X Surgery, Vascular Surgery | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-08-22 |