| NPI | 1326160797 |
|---|---|
| Doing Business As | ST. JOSEPH MERCY PRIMARY CARE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | GARRY C FAJA President CEO 734-975-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-10-20 |