| NPI | 1497172381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL BANDLIEN President 313-894-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4301046832) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |