| NPI | 1366976375 |
|---|---|
| Other Name | LEGARIUS, LLC |
| Entity Type | Organization |
| Authorized Contact | DANYELLE SYVETTE ARMOUR Nurse Practitioner 313-522-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704238009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301055371) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-24 |