| NPI | 1952330474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LISAK Department Chair 313-577-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |