| NPI | 1437270311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M BRISSE CEO 586-493-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-05-23 |