| NPI | 1225054703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J. FLANNERY Administrator 734-712-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 5201000097) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |