| NPI | 1982802203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T FOX CEO 248-213-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MI 1010000081) |
| Enumeration Date | 2007-07-08 |
| Last Update Date | 2015-12-21 |