| NPI | 1962463133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MICHALEK Sr Billing Manager 586-726-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 636907) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-04-21 |