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 |