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 |