| NPI | 1730378738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE BERNICK Office Manager 313-274-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI JB047245) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |