| NPI | 1326235854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MARTIN Administrator 248-414-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301052678) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2008-06-20 |