| NPI | 1861708257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A, LONDON President 248-646-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301040691) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |