| NPI | 1174704985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARIE GRALESKI Biller/ Office Manager 586-493-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 5101015319) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2008-11-19 |