| NPI | 1295225811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M IACOBELLI President 586-981-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301406807) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-09-24 |