| NPI | 1245574920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE K. DODMAN Owner/Physician 586-755-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-21 |