| NPI | 1366517708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN SCHOLL Provider 734-973-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI JS040970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI CF046469) |
| 207R00000X Internal Medicine (Licence: MI PS065397) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2014-09-23 |