| NPI | 1326483801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L WHYTE Owner 248-275-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704209317) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-13 |