| NPI | 1659664092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL JOSE RIGUERAS Manager 810-877-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 5101016641) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |