| NPI | 1053343004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0600X |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 2084S0010X Psychiatry & Neurology, Sports Medicine | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology | |
| 103G00000X Clinical Neuropsychologist | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-05-03 |