| NPI | 1134311954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EDWARD NEWMAN Owner 248-358-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI BN0253827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI BN0253815) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2020-07-31 |