| NPI | 1336476928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAE ANNE JOERIN Biller 313-633-9027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2016-01-26 |