| NPI | 1962929125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMASZ S DRAGOWSKI Owner 734-451-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4704277552) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |