| NPI | 1205296597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN A KESKEY Sole Owner 734-547-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301038005) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-08-24 |