| NPI | 1386866135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN D KRIEGER Owner 248-661-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI b3480c) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |