| NPI | 1144380221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANN CHURCHILL Billing Supervisor 248-922-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301060145) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-04-20 |