| NPI | 1407510829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE COWAN Co Owner 248-692-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |