| NPI | 1831907914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODIE VASSAR Owner 734-605-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-31 |