NPI | 1871216648 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSAY BARKER Enrollment Specialist 734-373-0849 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-09-26 |
Last Update Date | 2022-09-26 |