| NPI | 1710119300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID BORK Physician Owner 734-246-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI MB010520) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2018-06-21 |