| NPI | 1003122458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW D FELTZ Clinical Director 248-528-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: PA COA.0423-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD040819L) |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2022-03-03 |