| NPI | 1093170151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELINE J SPINDLER MD Owner 734-665-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301027237) |
| Additional Taxonomies | 261QM0801X (Licence: MI 4301027237) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |