| NPI | 1275573024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN EDWARD PASKO Owner/President 734-242-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-09-11 |