| NPI | 1104090083 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANDREW L MARCUS Owner 313-730-9100 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI AM042540) | 
| Enumeration Date | 2008-04-22 | 
| Last Update Date | 2008-04-22 |