| NPI | 1063963130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CASALOU President & CEO 734-712-3792 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2025-01-14 |