| NPI | 1801323506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. ZIADEH President 248-478-5645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: MI 4301059318) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301059318) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |