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 |