| NPI | 1053639146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES POE CRAIG Medical Director 734-528-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301052386) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |