| NPI | 1427229558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY B VALVONA Practice Manager 248-353-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI CL064439) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2009-09-18 |