| NPI | 1093019200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL ANN FELICE Office Manger 734-971-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MI 4301029292) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |