NPI | 1215125398 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLAN DANA LAMB President 734-676-4996 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI AL012651) |
Enumeration Date | 2007-10-14 |
Last Update Date | 2007-10-14 |