| NPI | 1093107682 |
|---|---|
| Doing Business As | SLEEP DISORDER CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAELENE GOGOLIN Ass Secretary Of Credentialing 248-851-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |