| NPI | 1053447490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NELSON WEIGEL President 248-544-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14244) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |