| NPI | 1225278740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFTIKHAR A KHAN Owner/President 989-799-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301072871) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-03-24 |