| NPI | 1205878824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ANSELM CHARLES President 313-640-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301058495) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-12-18 |