| NPI | 1841636149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYKISHA PHELAN Dependent Credentialing Coordinator 734-845-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: MI 4703111463) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |