| NPI | 1255512661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI L SANCHEZ Billing Manager 586-773-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI VM031566) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2011-01-03 |