| NPI | 1184085516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HESTER S PERNELL Physician 248-281-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI Mi14798) |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2016-03-12 |