| NPI | 1639417819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN X WU Medical Director 248-342-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MS 18988) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2021-01-18 |