| NPI | 1841461548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A BIEREMA Owner 248-267-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-08-19 |