208100000X
Macomb, MI
Specialty
208100000X
Credential
D.O.
NPI
1558774752
22701 Hall Road, Macomb, MI 48042
(916) 698-4700Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208100000X