| NPI | 1972763308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB JUTA Surgery Resident Physician 248-849-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MI 4301095168) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: VA 0116017922) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2009-07-20 |