| NPI | 1881182889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES K MOK Physician/Owner 586-786-5900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-09-04 |