| NPI | 1174549752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMINIA P BIEREMA Owner Provider 248-656-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301048948) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-07-21 |