| NPI | 1023063443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE O DIXON Practice Manager 248-746-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2013-08-13 |