| NPI | 1023291390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A PARENTE Medical Director 248-867-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI PP004701) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2009-12-31 |