| NPI | 1053518373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYLE D VICTOR Physician 313-436-2581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: MI 4301038979) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |