| NPI | 1841484177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN S HENDERSON Physician 517-853-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI RH012141) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |