| NPI | 1104889773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL JUOCYS Physician 248-475-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2010-03-11 |