| NPI | 1720327695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J LEVY Owner 231-487-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301047217) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |