| NPI | 1093901993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN T. PEARCE Owner/Provider 734-347-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301021837) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2008-05-22 |