| NPI | 1366988438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SISKOSKY CFO 734-728-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: MI 1962523308) |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: MI 1841318029) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |