| NPI | 1295901288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MARIE SOPKO Office Manager 810-230-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MI JS060311) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2015-03-27 |