| NPI | 1215117023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR AUGUSTINE LINARES Member 734-799-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI OL045607) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301050330) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI AD054293) | |
| 207X00000X Orthopaedic Surgery (Licence: MI JS013467) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI AR081265) | |
| 363AM0700X Physician Assistant, Medical (Licence: MI 5601003734) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-05-15 |