| NPI | 1093133365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF S PIERCE Director 248-321-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MI 5101010952) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |