| NPI | 1164564084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY A ADELEYE President 248-569-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301404448) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301404448) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |