NPI | 1972689453 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE A WROLSTAD Practice Administrator 248-619-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
Enumeration Date | 2006-10-27 |
Last Update Date | 2008-07-30 |