| NPI | 1285948364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D WOLF Owner/Operated 248-830-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301052955) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2015-11-13 |