NPI | 1356536064 |
---|---|
Entity Type | Organization |
Authorized Contact | ABIOLA DIANNE OBAYAN CEO/Medical Director 248-331-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 4301062397) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2022-07-21 |