| NPI | 1205002342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY E FISHER Physician/ President 248-862-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2019-02-04 |