| NPI | 1003144700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASAD POLICHERLA President 248-424-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301061567) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |