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 |