| NPI | 1275805491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLIE GALOVICH Biller 248-593-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208VP0000X | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |