| NPI | 1093106775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE GAYE HARTUNG Practice Manager 248-865-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301054481) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |