| NPI | 1326151960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MARIA MATHIS Office Manager 248-351-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301038180) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |