| NPI | 1316083629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY MARIE VIGOR President CEO 586-615-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 41885) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TN 41885) |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: TN 41885) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |