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 |