| NPI | 1144246653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA THIEMANN Manager 313-593-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MI DM007496) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |