| NPI | 1306075551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE G. BENDER CEO 248-304-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2018-03-21 |