| NPI | 1194940627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA L PLESCO Office Manager 734-522-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101009187) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 5101014641) |
| 2085R0202X Radiology Diagnostic Radiology | |
| 363LF0000X Nurse Practitioner Family (Licence: MI 4704136023) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-04-29 |