| NPI | 1902953011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M KURIAN Billing Manager 906-225-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2010-07-10 |