| NPI | 1134395718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PROSE President 248-662-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2015-11-25 |