| NPI | 1275920084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED NAMAN Member 248-336-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-08-07 |