| NPI | 1043352784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY JEAN SMITH Practice Manager 734-318-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 041891) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-01-29 |