| NPI | 1588737266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Supervisor 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-11-29 |