| NPI | 1285906420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN DUMONT Owner 734-769-3702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301027689) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2013-11-05 |