| NPI | 1932678281 |
|---|---|
| Former Legal Business Name | CHARLES MOK DO |
| Entity Type | Organization |
| Authorized Contact | DEAN RYNKOWSKI Administration 586-992-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2022-07-19 |