| NPI | 1578737060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD PAUL BERNER President 810-733-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301023743) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |