| NPI | 1396173118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH SANCHEZ President 810-733-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301076593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301081219) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |