| NPI | 1093010332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN WINEGARDEN President 248-470-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101014603) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |