| NPI | 1114149317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN M CAMPO Practice Adminstrator 248-685-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-12-17 |