| NPI | 1093933806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY W THOMAS Practice Manager 248-616-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: MI 208100000X) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-07-23 |