| NPI | 1154423598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK WEINER CEO 248-858-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |