NPI | 1225369838 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE KAREN DODMAN Physician 586-755-1606 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 5101010430) |
Enumeration Date | 2010-01-21 |
Last Update Date | 2010-01-21 |