| NPI | 1609174762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL DANA MILLER Owner/President 248-348-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 2301004002) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |