| NPI | 1265680003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. RICHARD GOULET Physician/Owner 734-677-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301025266) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |