| NPI | 1316293673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KULICK President / Physician Owner 586-846-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101016234) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MI 5101016234) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2023-03-07 |