| NPI | 1386991461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE BAYLIS Physician/Onwer 248-625-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301061396) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |