| NPI | 1962551531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA SUE STANTON Administrator 248-352-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 207W00000X) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-06-18 |