| NPI | 1972677060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN SCHENDEN Medical Director 248-524-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |