| NPI | 1942359666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTHOSH MADHAVAN Physician 248-761-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301050998) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |