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 |