| NPI | 1255378139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL R PERRY Manager 248-221-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0000X Internal Medicine Adolescent Medicine |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 207Q00000X Family Medicine | |
| 207QA0000X Family Medicine Adolescent Medicine | |
| 207QA0505X Family Medicine Adult Medicine | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2025-04-16 |