| NPI | 1013230168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC A CUSUMANO President 586-573-6669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301407063) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |