| NPI | 1194985689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J. FADOIR Owner / President 248-737-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 6301006008) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |