| NPI | 1730399106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI FISHER Office Manager 810-720-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI MH063776) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-09-28 |