| NPI | 1861143976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT President 734-747-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |