| NPI | 1053760470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WEIMERT President 734-793-2978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601007770) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |