| NPI | 1902887300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDARSHAN R REDDY Sole Owner Of Facility 586-263-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-08-22 |