| NPI | 1770518839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0600X |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 2084S0010X Psychiatry & Neurology, Sports Medicine | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-04-06 |