| NPI | 1972795334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE S FRANCIS Medical Biller 231-935-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2009-08-18 |