| NPI | 1467950758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN BROWN Manager 734-647-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2022-07-06 |