| NPI | 1174597991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY MARIE VIGOR Pres CEO 586-615-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301039392) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 4301039392) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MI 4301039392) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2012-07-09 |