| NPI | 1205910254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYNARD BUSZEK Owner / CEO 248-368-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: MI 4301044005) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-04-20 |