| NPI | 1164257028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT N BAYER Practice Manager 248-565-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |