| NPI | 1023269271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WEBBER Billing Agent 734-242-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301060460) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2014-10-13 |