| NPI | 1629392188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEVEN GURCZYNSKI Nurse Practitioner 313-297-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704159126) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |