| NPI | 1205909892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Provider Affairs 248-703-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 83190) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2024-03-06 |