| NPI | 1316315575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE DENSLEY Medical Director 248-859-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301039079) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-08 |