| NPI | 1417288812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC N COFFMAN President 734-261-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: 5101007287) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: B7101) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |