| NPI | 1992899058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE KIMBERLY THOMAS Administrator 586-353-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4301020646) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-04-25 |