NPI | 1487731006 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD W SWAIN Owner 586-677-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MI 2301009115) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-09-29 |