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 |