| NPI | 1649464686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SMITH Insurance Manager 1586-725-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 4301074605) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2008-12-02 |