| NPI | 1699948919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MCFADDEN Clinic Director 586-468-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 2301009192) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2009-03-13 |