| NPI | 1225204399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVINDERJIT S BHANGU Owner 810-606-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301071280) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2011-04-28 |