NPI | 1003082447 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE ANN MARVIN-MANDERS Owner 734-428-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4901003224) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2008-05-06 |