| NPI | 1912322009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY AMES Treasurer 734-250-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
| 2086S0102X Surgery, Surgical Critical Care | |
| 2086S0127X Surgery, Trauma Surgery | |
| 2086S0129X | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |