| NPI | 1053352971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK WEINER CEO 248-858-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |