| NPI | 1376667634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS C PACKEY Owner 313-886-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI DP006508) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-05-16 |