| NPI | 1841719531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRUDY A CASSEL Manager 313-724-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301056091) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |