| NPI | 1053684647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Coordinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2022-06-28 |