NPI | 1356504427 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY E. SHORT Physician/President 734-904-2496 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5101011718) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2008-08-04 |