| NPI | 1154392132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISA PALENTINO Practice Manager 248-615-7315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-01-17 |