| NPI | 1417490855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA JEAN THOMSON Owner 313-231-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101013968) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |