| NPI | 1457536468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M MCCARREN Office Manager 734-572-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301035414) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |