| NPI | 1356778286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD B SMITH Owner 248-283-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: MI 4301048619) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301048619) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2021-06-15 |