NPI | 1447583398 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE RITTER Medical Director 248-932-2932 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MI MR070661) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MI MR070661) |
Enumeration Date | 2009-09-10 |
Last Update Date | 2010-09-09 |