| NPI | 1184886327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ANN BOWMAN Office Manager 313-388-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301046694) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |