| NPI | 1801079017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY ANN JENKINS Owner 248-618-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2023-03-07 |