| NPI | 1477620755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P SIMON Chief, Health Services Division 586-307-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient (Licence: MI 4301062131) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |