| NPI | 1790856235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 313-874-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 830190) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-03-06 |