| NPI | 1891887675 |
|---|---|
| Doing Business As | ADVANCE SURGICAL ASSOCIAT |
| Entity Type | Organization |
| Authorized Contact | ROBERT I BOORSTEIN President 248-478-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI RB007073) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI MR011373) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-05-13 |