| NPI | 1588285050 |
|---|---|
| Doing Business As | MRS. |
| Entity Type | Organization |
| Authorized Contact | BONNIE GREENBLATT Executive Administrator 248-740-0658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-07-20 |