| NPI | 1811922974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 208600000X Surgery | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-05-03 |