| NPI | 1417174319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LYNN WETZEL Office Manager 586-751-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-01-05 |