NPI | 1467645317 |
---|---|
Entity Type | Organization |
Authorized Contact | WILBUR BOIKE Owner 810-424-2007 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301043693) |
Enumeration Date | 2007-08-23 |
Last Update Date | 2007-08-23 |