| NPI | 1427171511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY STEVENS Billing Coordinator 248-327-1586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 630070) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-11-18 |