| NPI | 1477765618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS JOSEPH MORELL Owner 810-227-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: MI 5101008074) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-05-19 |