| NPI | 1730187840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA BERRY Owner/Physician 248-358-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI PB047877) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2009-04-29 |