NPI | 1912066093 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANN K SCRIPKO Patient Accounts Manager 734-547-1174 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 208600000X Surgery |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2024-05-15 |