| NPI | 1669732780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT ALDRIDGE DUNCAN Doctor 313-574-6508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: LA MD15664R) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |