| 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 |
| 363AS0400X Physician Assistant, Surgical | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2026-03-11 |