| NPI | 1942564588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN E MINNICK Medical Director 313-343-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096422) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |