| NPI | 1710251541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLIE GALOVICH Biller 248-593-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2025-12-22 |