| NPI | 1134137813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L. HICKS Physician/Owner 248-858-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301406967) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |