| NPI | 1932459567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD A SHIENER Owner 248-645-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301036563) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MI 4301036563) |
| 2084P0805X (Licence: MI 4301036563) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |