| NPI | 1699088468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLIE GALOVICH Biller 248-390-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301040917) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: MI 5101008800) |
| 207L00000X Anesthesiology (Licence: MI 510010514) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301031988) | |
| 207Q00000X Family Medicine (Licence: MI 5101016943) | |
| 207X00000X Orthopaedic Surgery (Licence: MI 510014180) | |
| 207X00000X Orthopaedic Surgery (Licence: MI 5101013938) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301096741) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301083370) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: GA 5101015292) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4304373315) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 430175238) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 5101008581) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101011584) | |
| 208600000X Surgery (Licence: MI 5101017430) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2012-01-09 |