| NPI | 1760889539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MUELLER President 248-231-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 470190395) |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2014-11-22 |