| NPI | 1417752221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN JOSEPH BLOCH President 248-270-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-04-30 |