| NPI | 1548960149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MILLER Contracts Manager 313-745-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |