| NPI | 1861724411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAN GANESH KULKARNI Owner 517-788-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MI 4301066998) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-05-12 |