| NPI | 1760660401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEPHEN NEUMANN Owner 734-847-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 5101013724) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-05-21 |