NPI | 1225202146 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER D TYKOCKI President 810-694-2720 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI CT012113) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2008-04-22 |