| NPI | 1477230498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MUSSON Physician/Co Owner 586-992-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2086S0129X |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |