| NPI | 1275280711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN S TOMA Owner 248-470-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-11-21 |