| NPI | 1558497008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISE L BURRELL Administrator 313-272-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301030345) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801072558) |
| 133V00000X Dietitian, Registered (Licence: MI 861501) | |
| 163W00000X Registered Nurse (Licence: MI 4704191117) | |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301028327) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-01-03 |