| NPI | 1700118759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO BALAREZO Physician 734-285-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI AB034772) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |