| NPI | 1346435963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A BALA SETTY Main Doctor/Owner 734-729-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MI as035467) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-08-12 |