| NPI | 1568420388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH M METZ Medical Director 248-223-9925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 261QA1903X) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-04-20 |