| NPI | 1679619449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PHILLIP WOLFE Physician 248-650-1534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI TWO53571) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI CCO52610) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |