| NPI | 1710193057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROYQUIA CARTER Billing Manager 586-772-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301075014) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |