| NPI | 1366337826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC PHILLIPS Owner 248-327-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |