| NPI | 1134651573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WLED WAZNI Owner 586-303-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-02-05 |