| NPI | 1952556078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GIANCARLO President, Mna 586-445-9900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101008571) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5101008581) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2016-08-29 |