| NPI | 1265523328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE WEEKS Billing/Credentialing Manager 248-203-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-02-25 |