| NPI | 1578866620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY F KOLOFF Md 248-553-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI GK048556) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |