| NPI | 1225225501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M KULHANEK Office Manager/Biller 810-732-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301049294) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2009-06-23 |