| NPI | 1083908081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUINTA L EDWARDS Biller 248-327-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301040115) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2012-02-06 |