| NPI | 1821331372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUGHN M MASROPIAN Authorized Official 248-376-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |