NPI | 1114024486 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA CLAUDINE GRIGGS Owner 313-341-7870 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MI 4030161868) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4030161868) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2014-06-12 |