| NPI | 1952480964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 248-703-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 830190) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-03-15 |