| NPI | 1457654675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH SUSAN IFTIKHAR Medical Director 248-957-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: MI 7301063833) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |