NPI | 1295205532 |
---|---|
Doing Business As | STONEY CREEK PHYSICIANS |
Entity Type | Organization |
Authorized Contact | LATHA SRIKRISHNA President 248-210-5404 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2018-11-29 |
Last Update Date | 2019-12-08 |