| NPI | 1114950656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2021-05-03 |