| NPI | 1225185945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M PORTZ Owner 734-475-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI Dp049712) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-12-16 |