| NPI | 1952731242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN TITUS PLOMARITIS Physician/Owner 586-558-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2022-07-21 |