NPI | 1184761801 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE GILBERT JOHNSON President 586-777-7604 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-08-22 |