| NPI | 1770754582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRIE HARPER Billing Coordinator 989-754-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI TB069278) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-04-16 |