| NPI | 1164620753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL KLANN Office Manager 810-966-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI RH066725) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2009-12-17 |