| NPI | 1336306018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN K JACOBS Office Manager 248-676-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI DV009592) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |