| NPI | 1942265236 |
|---|---|
| Other Name | PH GENERAL SURGERY/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Coordinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-06-28 |