NPI | 1558072629 |
---|---|
Entity Type | Organization |
Authorized Contact | AMIR-KIANOOSH FALLAHI Medical Director 810-953-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2022-12-09 |
Last Update Date | 2023-11-01 |