NPI | 1972715977 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTIE SCOTT President 810-694-7095 |
Organization Subpart ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4301075129) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2015-06-22 |