| NPI | 1548434814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARY SHADIGIAN Owner 734-477-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301064081) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |