| NPI | 1891828885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY BRAIN DANTO Presdent 248-888-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-01-14 |