| NPI | 1235390402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD D KEYTE President 734-721-2769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 5101004817) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |