| NPI | 1538990387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN GARRY Authorized Official 248-719-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2025-05-14 |