| NPI | 1295831550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S GENDELMAN President 248-360-9241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |