| NPI | 1063077840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MORAN PARVIN Practice Manager 734-479-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-12-02 |