NPI | 1245311869 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA R BOLTON President 248-816-1420 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301043268) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |