| NPI | 1225614357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA TRZECIAK Billing Manager 248-662-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-19 |