| NPI | 1285753236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY FAJA President CEO 734-712-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-02-22 |