NPI | 1184743866 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL P GUSHO CFO Se Mi Region 248-858-6174 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207P00000X Emergency Medicine |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2017-10-05 |