| NPI | 1023758257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL KRIEM Owner/Authorized Official 248-854-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |