| NPI | 1518299379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD S MARCUS Doctor 248-588-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MI 5101013149) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |