| NPI | 1134524085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSEY VICTOROVICH SHCHURIN Manager 248-933-9039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD 446550) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-05 |