| NPI | 1013472000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINESH J TELANG Physician Member 586-221-3142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 208800000X Urology | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |