| NPI | 1003508805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KRAFT CEO 248-722-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-10-24 |