| NPI | 1912237512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS DONALD SOVERINSKY Owner 248-334-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5101005076) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |