| NPI | 1033301296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY R. WILLIAMS Office Manager/Billing Specialist 248-208-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-28 |