NPI | 1366609455 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS EDWARD SCHULZ President 248-642-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: MI 15398) |
Enumeration Date | 2008-05-17 |
Last Update Date | 2008-05-17 |