| NPI | 1063625382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID LUTZ President 248-353-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301062234) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301049075) |
| 208800000X Urology (Licence: MI 4301067706) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-02-18 |