| NPI | 1386865228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADSTONE A. PAYTON President 586-468-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101005762) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-02-08 |