| NPI | 1366484693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE PENNINGTON Owner/Physician 248-304-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301070192) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-10-17 |