| NPI | 1073743506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA THOMAS-ROBINSON President 989-501-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 60516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 60516) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2015-10-22 |