| NPI | 1578905956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD B SMITH Owner 248-652-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2024-07-30 |