| NPI | 1457498081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN E. BORONIEC Assist. Office Manager 248-858-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2025-05-20 |