| NPI | 1407926306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ROBERTSON Medical Director 248-693-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101009588) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |