| NPI | 1023148053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK B SCHARE Owner 248-813-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301043733) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |