| NPI | 1912255746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA NEVILLE Office Manager 586-226-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301033213) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |