| NPI | 1285950295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE JACOB Medical Education Admin. Assistant 586-759-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |