| NPI | 1780724468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI ANN WALTHER Office Manager 810-732-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI ER039365) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI MA038827) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-06-16 |