| NPI | 1427357821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE LYNN KOWALCZYK Medical Director 586-576-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: MI 4301054864) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |