| NPI | 1518247295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GIANCARLO President 586-445-9900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 1010000026) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2022-01-18 |