| NPI | 1194921692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DJ MEGLER President Chief Executive Officer 586-779-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-10-12 |