| NPI | 1306266614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE M GUSS Owner 248-756-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704218575) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2022-10-13 |