| NPI | 1104334630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MELISSA MCBRIEN Owner/Physician 248-855-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-03-17 |