| NPI | 1386412344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAZARUS Executive Director Ambulatory Servi 586-588-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-07-15 |