| NPI | 1144351404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH R JENKINS Program Director 313-874-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI AH051664) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-05-26 |