| NPI | 1205986411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LEE MCCULLEN Neonatal Nurse Practitioner 313-343-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: MI 4704207081) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2009-02-24 |