NPI | 1982614889 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA LYNNE KOSCHTIAL HOWE Owner 586-991-0801 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MI 5501006539) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2016-01-05 |