| NPI | 1750606083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 2084S0010X Psychiatry & Neurology, Sports Medicine | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2021-05-03 |