| NPI | 1851841084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASLING DELGADO-CORDERO Physician Assistant 734-664-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004803) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |