| NPI | 1093943615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAI KINYELL PALM Resident Physician 313-622-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MI 4301094326) |
| Additional Taxonomies | 261Q00000X (Licence: MI 4301094326) |
| 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301094326) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |