| NPI | 1053483461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L KUNCH Billing Manager 248-646-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 207RR05500X) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-07-08 |