| NPI | 1952330474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LISAK Department Chair 313-577-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-09-11 |