| NPI | 1295223998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J. MAYRAND Managing Director 248-421-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2023-04-18 |