| NPI | 1457758682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE ENGLER Solo Physician 734-281-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MI 4301057913) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |