| NPI | 1427161306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEON HICKS Physician Owner 248-760-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301406967) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2015-03-20 |