| NPI | 1255006706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT Chief Operating Officer / President 734-327-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |