| NPI | 1023628880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RENEE BOYER Financial Manager 248-267-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |