| NPI | 1932435625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK JOEL SMITH Medical Director And President 517-908-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-10-30 |