NPI | 1912982554 |
---|---|
Doing Business As | THREE RIVERS HEALTH SURGICAL SERVICES |
Entity Type | Organization |
Authorized Contact | WILLIAM RUSSELL Chief Executive Officer 269-278-1145 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: MI 750020) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 750020) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2011-01-28 |