| NPI | 1619243995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARRAH F. PREZZATO Manager 248-320-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301088750) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2013-01-02 |