| NPI | 1437488921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA DONNA J. HENDRICKS President 248-421-9706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301088258) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |