| NPI | 1346364619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL DENNIS FOWLER Owner President 313-894-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI cf045243) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-08-05 |