| NPI | 1033287966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASUNCION TIDALGO Office Administrator 248-785-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301045963) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-08-19 |