| NPI | 1093419376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI LYNN PARSON Compliance Officer 734-470-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-05-17 |