NPI | 1104833839 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ROGER BYRD Medical Director/President 248-293-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 636924) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2012-05-03 |