NPI | 1184297954 |
---|---|
Entity Type | Organization |
Authorized Contact | MORGAN GLAZER Authorized Official 248-550-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
Enumeration Date | 2021-07-20 |
Last Update Date | 2022-05-20 |