| NPI | 1144484221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MONROE Business Manager 810-733-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI SG407339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI EG406295) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2010-12-29 |