| NPI | 1265564900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE P GALLAGHER Office Manager 586-228-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2015-08-18 |