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 |