| NPI | 1477621068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLARD R GOLUSIN Owner President 248-267-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301077870) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI MG039013) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301063722) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-07-18 |