| NPI | 1174657449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HEYMAN Member 810-695-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101014587) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |