| NPI | 1083996102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS LENA WINCHESTER Owner 313-477-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |