| NPI | 1023283868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DOUGLAS TROMBLY Medical Doctor 586-268-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 036680) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |