| NPI | 1174103634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L GOLDBERGER Manager 248-320-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |