| NPI | 1316082399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY S VACHERESSE Office Manager 248-543-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2015-02-03 |