| NPI | 1427823889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BERGER President 248-979-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-06-27 |