| NPI | 1215954292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SCUCCIMARRI President 734-761-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301047163) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |