| NPI | 1568044139 |
|---|---|
| Doing Business As | DETROIT WEIGHT LOSS CENTER |
| Entity Type | Organization |
| Authorized Contact | BLAKE RYAN MOVITZ Physician 248-821-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2024-07-30 |