| NPI | 1366219651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Dir Office Of Provider Affairs 248-703-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-09-20 |