| NPI | 1306597612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R PESHL Administrator 248-793-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center, Community Health | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QE0002X Clinic/Center, Emergency Care | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-08-01 |