| NPI | 1366763161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HESTER SUSIE PERNELL Internist 248-557-1753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301041286) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-16 |