| NPI | 1093904500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS MICHELLE BUTLER-JACKSON President 586-286-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301051182) |
| Enumeration Date | 2007-10-21 |
| Last Update Date | 2007-10-21 |