| NPI | 1326257148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL R PERRY Manager 248-221-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-04-16 |