| NPI | 1073959615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A SCHWARZ President 248-798-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: MI 4301062570) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301062570) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2016-03-11 |