| NPI | 1104849330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MARTIN Owner/President 734-792-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301061359) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-02-29 |