| NPI | 1497906499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN SCHOMAKER Office Manager 586-741-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101012706) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |