| NPI | 1942265236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing COO Rdinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2025-01-28 |