| NPI | 1407059397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LUBAWAY Vice President Finance 313-966-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |