| NPI | 1902143753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BRYCE Credentialing COO Rdinator 989-746-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2019-12-18 |