| NPI | 1932301421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADALYN BETEAG Office Manager 734-422-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI MN032838) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-12-18 |