| NPI | 1780686469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUAT SIA SY President 313-271-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 4301040071) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301040071) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2009-08-07 |