| NPI | 1255365862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 2084S0010X Psychiatry & Neurology, Sports Medicine | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-05-03 |