| NPI | 1104382001 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | WILLIAM F SASSER Owner 248-824-6000 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| Enumeration Date | 2019-02-15 | 
| Last Update Date | 2019-02-15 |