| NPI | 1619001062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGITTE LORENZ Owner 248-601-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: MI 4301066962) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2011-07-18 |