| NPI | 1265149488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WEINER Owner 248-835-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207QB0002X Family Medicine Obesity Medicine | |
| 207RB0002X Internal Medicine Obesity Medicine | |
| 363A00000X Physician Assistant | |
| 363LC0200X Nurse Practitioner Critical Care Medicine | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-01-04 |