| NPI | 1447363270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN PURCELL-KOBEL Registered Pharmacist 734-464-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 5302029042) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |