| NPI | 1063489656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. MARTIN LERNER President/Owner 248-540-9866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI AL025571) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-08-22 |