| NPI | 1053439117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARIVALLABH D PANDYA President 586-778-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 506821) |
| Additional Taxonomies | 261QE0800X (Licence: MI 506821) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |