| NPI | 1962673939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MCBRIEN Physician / Owner 248-855-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301404962) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |