| NPI | 1518260744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M FLAKE President 248-569-5407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301043819) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |