| NPI | 1043491509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE JEAN CIAK Office Mangaer/Biller 810-733-9470 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301043430) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |