| NPI | 1013131812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC D. MEISSNER Owner 313-966-1154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301055452) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-05-15 |