NPI | 1134165632 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH L DUNCAN Physician/Owner 810-629-2245 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
207R00000X Internal Medicine | |
207RA0000X Internal Medicine, Adolescent Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301038438) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2010-04-14 |