| NPI | 1376923680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DOHERTY Managing Partner 313-549-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-09-29 |