| NPI | 1346274933 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID C MILLER Exec Medical Director Faculty Grp 734-936-3568 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology | 
| Additional Taxonomies | 208000000X Pediatrics | 
| Enumeration Date | 2006-07-10 | 
| Last Update Date | 2021-04-05 |