| NPI | 1952696346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE LYNN KOWALCZYK Owner 586-576-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MI 4301054864) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |