| NPI | 1922335488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOTHI NICHANAMETLA Owner 734-981-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301079947) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2025-09-07 |