| NPI | 1063788818 |
|---|---|
| Doing Business As | ONHEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEIDER Clinical Director 248-528-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2022-03-03 |