| NPI | 1376644922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Supervisor 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-11-29 |