| NPI | 1174693097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA LOUISE BELBOT Office Manager 586-751-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-02-04 |