| NPI | 1063573368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 248-703-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 830190) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2024-03-06 |