| NPI | 1033466933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLIE GALOVICH Biller 248-593-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MI 63-6958) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |