| NPI | 1124211131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALAN GOLDSHLACK President 517-484-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI PG007284) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |