| NPI | 1508949140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GARRETT NELSON President 586-228-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 49561020) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI BN041753) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2025-09-11 |