| NPI | 1952289894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROSENBERG Authorized Official 734-215-2397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-10-06 |