| NPI | 1689045577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY NEWMAN Owner 248-345-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2015-10-17 |
| Last Update Date | 2019-12-11 |