| NPI | 1427703602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Dir Office Of Provider Affairs 248-325-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-12-09 |