NPI | 1144365388 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW NMN THOMAS President 313-680-0619 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301051568) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-08-10 |