| NPI | 1386824878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CLARK WEIERMILLER Owner/President 586-795-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI RW071822) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |