| NPI | 1346241775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON D. ALSTON Owner/Authorized Official 248-971-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 636828) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2025-01-21 |