| NPI | 1114051646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R SHERRY Office Manager 313-565-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: MI 4301060472) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |