| NPI | 1063356707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CONDON Administrator 248-379-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |