NPI | 1841456613 |
---|---|
Entity Type | Organization |
Authorized Contact | BONITA M L WANG, D.O., PLC Owner 810-732-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101011000) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2008-07-31 |