| NPI | 1265856231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH METZ Medical Director 248-223-9925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 1010000049) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |