| NPI | 1134176472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Coordinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2023-12-07 |