| NPI | 1467627687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D WEISS Owner 248-608-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101007574) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |