| NPI | 1033445861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANN KNIGHT Office / Billing Manager 517-699-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine (Licence: MI 4301056583) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |