| NPI | 1093907677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED M FAULKNER President 313-277-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 5101014788) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |