NPI | 1790950186 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE PERDUE Biller/Manager 313-388-4247 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301063985) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2008-04-25 |