NPI | 1073089629 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT CASALOU President & CEO 734-712-3792 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2018-10-22 |
Last Update Date | 2025-01-14 |