| NPI | 1558456657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA MICKELSON President 248-822-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI IM043839) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-04-25 |