| NPI | 1417124272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ANDREWS Administrator 248-569-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-06-13 |