| NPI | 1427266113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WILLIAM DEBYLE President 313-386-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 5101005616) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |