| NPI | 1134457435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT NEUENSCHWANDER President/Incorporator 734-995-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301050438) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704136630) |
| 207Q00000X Family Medicine (Licence: MI 4301091374) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704196627) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2015-08-04 |