| NPI | 1154691814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WILLIAMSON Office Manager 248-442-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NV DW009333) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NV DO1502) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |