| NPI | 1396288031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIUSEPPE G PAESE Owner 248-362-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MI 5101014513) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |