| NPI | 1801480819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CLAUDE Owner 734-837-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |