NPI | 1013066380 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM LUKE JORDAN President 313-579-4555 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MI WJ048252) |
Additional Taxonomies | 174400000X Specialist (Licence: MI BT042967) |
174400000X Specialist (Licence: MI SF046607) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2019-01-25 |