| NPI | 1215481981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE SWIFT Administrator 313-579-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301098588) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301098588) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |