| NPI | 1770796757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINDIGALLA V. RAMANA Medical Director 810-667-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-02-11 |