| NPI | 1447628904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY HAMLIN Office Manager 586-212-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NC 200301497) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |