| NPI | 1053409268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCGEE Office Manager 248-308-2604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI BC013348) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-09-19 |