| NPI | 1306858980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BERING President 586-795-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MI TB057582) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2011-03-08 |