NPI | 1154766244 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE DOOLEY-HASH Physician 734-669-8585 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301078402) |
Enumeration Date | 2013-05-03 |
Last Update Date | 2013-05-03 |