| NPI | 1124220140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE S GODORICH Manager 248-853-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 5101006091) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |