| NPI | 1386175800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES S BROOKS Sole Member 248-356-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301403985) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2020-02-04 |