| NPI | 1548317902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY L ENGELHARDT Administrator 586-286-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 4301030406) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |