| NPI | 1275963019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA SUSAN MASTER President 248-380-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301059342) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2014-02-19 |