| NPI | 1942752845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVEED MAHFOOZ Owner 989-672-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MI 4301059644) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2018-05-31 |