| NPI | 1710163498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD SPEARS Director 248-535-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301052259) |
| Enumeration Date | 2008-01-13 |
| Last Update Date | 2009-07-28 |