| 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 |