| NPI | 1063961738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN PINKARD Administrator 734-699-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704164057) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-11-21 |