| NPI | 1366574410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY VANDEPUTTE Administrator 248-281-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 636926) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2012-11-29 |