| NPI | 1821312281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F PAUL Owner 586-573-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MI 4901002487) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |