NPI | 1396910774 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE DONALD LAWLEY President 248-442-4901 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 208D00000X) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2014-12-02 |