| NPI | 1164616629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA COPENY Billing COO Rdinator 810-720-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI LS058222) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2011-05-12 |