| NPI | 1598746067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE R SCHIEBOUT President 734-281-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: 5101009581) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MI 4704100811) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |