| NPI | 1164702189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T SNYDER Owner/Position 734-224-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301069243) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |