| NPI | 1154370146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DOBIS Executive Director 517-337-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 336815) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-09-05 |