| NPI | 1114242385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY M MIAZGOWICZ Office Manager 734-434-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301042423) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2011-01-19 |