| NPI | 1477966125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLENE WOOD Pediatric House Officer 734-763-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301105815) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |