| NPI | 1124220256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA KRISTINE HOLLOWELL Manager 248-559-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301068963) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2011-01-21 |