| 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 |