| NPI | 1114107067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOHN KILBANE President 734-779-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301052982) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |