| NPI | 1417108051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE GRAVES Office Manager 248-652-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MI KW038400) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2020-12-07 |