| NPI | 1477710135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK MICHAEL VINCENT Owner/Physician 517-374-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 4301035133) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |