| NPI | 1417076951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P GUSHO CFO Se Mi Region 248-858-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-10-05 |