| NPI | 1952362030 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRIAN SCOTT SHAPIRO Surgeon/Treasurer 810-579-2600 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MI OK034453) | 
| Additional Taxonomies | 208600000X Surgery (Licence: MI HP031219) | 
| 2086S0127X Surgery, Trauma Surgery (Licence: MI BS053139) | |
| Enumeration Date | 2006-03-29 | 
| Last Update Date | 2025-09-11 |