| NPI | 1245669811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA FLOMIN SWANSON President 248-231-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX N7497) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2022-06-22 |