| NPI | 1033208707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER J REGULA Owner 734-591-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MI 2901012093) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |