NPI | 1245311398 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP MICHAEL O'HALLORAN Member 248-760-0522 |
Organization Subpart ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MI 4301407335) |
Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301407335) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-08-22 |