| NPI | 1295977007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK A. DIPONIO Physician/Owner 586-604-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI #5101014926) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI FD014926) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-11-06 |