| NPI | 1194742940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE LUTHER Senior Biller 248-229-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301054621) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |