| NPI | 1841840113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WALL Biller 248-296-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-12-16 |