| NPI | 1336406552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRISH CHAND MANGALICK Owner/Med Director 734-284-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301034377) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2021-01-21 |