| NPI | 1881633022 |
|---|---|
| Doing Business As | SINAI GRACE PHYSICIANS ASSISTANTS GROUP |
| Entity Type | Organization |
| Authorized Contact | RONALD XAVIER STAVALE Manager 313-440-4479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-08-22 |