| NPI | 1861448334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GIANCARLO President, Tg Do Pc 586-445-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101008581) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |