| NPI | 1669611059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISE VALENTINE Doctor 248-569-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301053752) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-04-01 |