| NPI | 1689818692 |
|---|---|
| Former Legal Business Name | PAUL J. MISCH |
| Entity Type | Organization |
| Authorized Contact | PAUL J. MISCH President 734-522-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 2901015423) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MI 2901010909) |
| 261QD0000X Clinic/Center, Dental (Licence: IL 019022356) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |