| NPI | 1316256472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE K GRAHAM President 248-547-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301050455) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |