| NPI | 1144111840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN TAYLOR BARATONO Authorized Official 734-225-6859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-08-05 |