| NPI | 1891077293 |
|---|---|
| Doing Business As | KETTERING MEDICAL CENTER - BREAST EVALUATION CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL D HAIBACH Director Business Development 937-914-7094 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |