| NPI | 1144496860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIRA DESIKACHAR Member 248-231-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2014-10-24 |