| NPI | 1942496443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN GLOWACKI M.D. Medical Director 248-813-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301080069) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-12-20 |