| NPI | 1457400947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA TORRES Credentialing Specialist 248-857-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301035562) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301040529) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |