| NPI | 1770515041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM FALK Administrator 313-745-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 204F00000X Transplant Surgery |
| 208600000X Surgery | |
| 2086S0102X Surgery, Surgical Critical Care | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 2086S0127X Surgery, Trauma Surgery | |
| 2086S0129X | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2025-09-11 |