| NPI | 1730393034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DEVINE Practice Manager 248-684-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI MB006783) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |