| NPI | 1255388898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L MURRAY Practice Manager 586-795-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301073989) | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2025-07-08 |