| NPI | 1215429568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCHLEIMER Owner/Authorized Official 248-268-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2018-06-02 |
| Last Update Date | 2018-06-02 |