| NPI | 1639271075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK WEINER CEO 248-858-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |