| 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 |