| NPI | 1164635025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASIM RATHUR Member 248-358-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |