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 |