| NPI | 1134355902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE KEVIN GRAHAM President 313-875-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301050455) |
| Enumeration Date | 2009-06-06 |
| Last Update Date | 2012-07-19 |