| NPI | 1679717466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON ANITA BRYNAERT Administrator/Director 586-286-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MI 506836) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2016-12-28 |