| NPI | 1740543222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA J SHARP Manager 248-398-4614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI DK008799) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |