| NPI | 1083314124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRION BURTON Office Manager 248-667-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |