| NPI | 1164606976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNITA TUMMALA Owner 810-733-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301075291) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |