| NPI | 1073240842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE FRANK WISK Managing Member 313-641-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-03 |