| NPI | 1548660848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEKANAND PALAVALI Owner 810-733-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI VP065576) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |