| NPI | 1962677104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANA J KYSELKA President 248-643-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI LK043787) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2011-02-14 |