| NPI | 1093835647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HALL Owner 586-992-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-12-19 |