| NPI | 1336304070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R BOHDAN Owner 734-981-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI MI2602) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2015-06-18 |