| NPI | 1285954834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAN JAREUNPOON President 248-879-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 208600000X) |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2010-06-07 |