| NPI | 1225043011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLLAND MAMBOURG Vice President Physician Services 734-712-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |