| NPI | 1730366766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE N. B. Medical Biller 313-357-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MI 5501003394) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-02-07 |