| NPI | 1689630568 |
|---|---|
| Other Name | PROF CORPORATION |
| Entity Type | Organization |
| Authorized Contact | ROBERT A BADALAMENT Owner 248-650-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2008-09-15 |