| NPI | 1255636460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLARD R GOLUSIN Administrator 248-267-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI MG039013) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |